Organization
MILLENNIUM HEALTH CARE SERVICES
Active
Other names
Millennium PCA Services
Organization subpart
No
Provider details
NPI number
Authorized official
DWAINE JOSEPH WOODS (EXECUTIVE DIRECTOR)
(225) 923-3117
Entity
Organization
Contact information
Practice address
2701 JOHNSTON ST, SUITE 303, LAFAYETTE, LA 70503-3263
(337) 264-1288
(337) 264-1289
Mailing address
PO BOX 45301, BATON ROUGE, LA 70895-4301
(225) 923-3117
(225) 923-3117
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
PCA 7051
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1458848
—
LA
Enumeration date
04/17/2007
Last updated
10/13/2008
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